The way that they treat their own residents and cophysicians. The arrogance that come from graduating from a UC program and being a few years ahead of another person. Just put a stop to this behavior. Several of the faculties lack proper training and the manner that they exemplify the work is even more terrifying. And to think they know it all. Stop.

ACGME put the money in the wrong hands. They should do it the other way around where the programs are not allowed to keep all that money but that the Residents are paying the program for their training.

This last week with news of Hurricane Harvey and Houston,… people have gotten very sick for some reason and the staff are overwhelmed and distracted.

We continue to pray as when God and the force of nature decides to take someone, even if they are passing away in front of another’s eyes, they just cannot be brought back to life. These events are unfortunate and it always make people wonder in grief, but we are not God. There are so much limitations in how much a person can do.

In the while, I pray for myself due to colleagues who reports information incorrectly because of their own surface interpretation. For people who hears these things and are not receiving such information from first hand experience.

Avalokitesvara is “the one who looks deeply into the world and hears the cries of the world.” This voice relieves our suffering and suppressed feelings, because it is the voice of someone who understands us deeply — our anguish, despair, and fear. When we feel understood, we suffer much less.

We get 360 degrees evaluations. However, when you don’t perform as well, you’re under constant scrutiny and your job is no longer secure. The amount of stress induced by this type of environment is beyond imagination. The only way to cope with this type of stress is when I can remind myself that this work is not the final option. If a negative connotation has been imposed like a stone that weighs heavy on me, I have to slip beneath it and come out otherwise I will be crushed completely. It’s even worse that you’re not allowed to discuss this with anyone at all because they will evaluate it as a sign of weakness and unprofessional and this too ends up on your evaluation as cynicism and failure.

Your joy is your sorrow unmasked.
And the selfsame well from which your laughter rises was oftentimes filled with your tears.
And how else can it be?
The deeper that sorrow carves into your being, the more joy you can contain.
Is not the cup that holds your wine the very cup that was burned in the potter’s oven?
And is not the lute that soothes your spirit, the very wood that was hollowed with knives?
When you are joyous, look deep into your heart and you shall find it is only that which has given you sorrow that is giving you joy.
When you are sorrowful look again in your heart, and you shall see that in truth you are weeping for that which has been your delight.

Some of you say, “Joy is greater thar sorrow,” and others say, “Nay, sorrow is the greater.”
But I say unto you, they are inseparable.
Together they come, and when one sits, alone with you at your board, remember that the other is asleep upon your bed.

Verily you are suspended like scales between your sorrow and your joy.
Only when you are empty are you at standstill and balanced.
When the treasure-keeper lifts you to weigh his gold and his silver, needs must your joy or your sorrow rise or fall.